Article,

Variability of clinical presentation in fumarate hydratase deficiency.

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J Pediatr, 121 (5 Pt 1): 752--754 (November 1992)

Abstract

A 5-year-old girl with a previous diagnosis of cerebral palsy, nonprogressive psychomotor retardation, and hypotonia was found to excrete excessive fumaric acid in urine. Fumarate hydratase activity in skin fibroblasts was 10\% of the control value. This case underscores the clinical heterogeneity of neurometabolic disorders and the importance of organic acid analysis in the diagnosis of static encephalopathy.

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